Doctor insights on:
Spiral Femur Fractures In Children
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Bayonet apposition of complete fractured radius and ulna under arm cast as seen in xray both bones are in parallel position, would it heal?
Yes : As i told you before it would be best if this were treated operatively but yes it will most probably heal but with some loss of function/ length / motion ect also check vit d level as if it is low then healing will be negatively impacted. ...Read more
No: This would be caused by abuse.Get a more detailed answer ›
Trauma: I have seen this in a kid who fell over his day roughhousing, which was the only somewhat innocent cause i could think of. The injury implys a twisting form of trauma.I suppose a kid who stuck his leg in a hole & fell over could do it, but the possibility of inflicted trauma must be considered. ...Read more
Please translate: comminuted left intertrochanteric hip fracture-avulsion of greater&lesser trochanters. Fracture lines evident. No callus formation?
Not healing yet: This sounds like a complicated fracture. Callus is what we look for to show signs of healing. It varies in time before it becomes visible on an X-ray . Depending on when this happened would help explain the findings. As always talk to your orthopedist. Good luck ...Read moreSee 3 more doctor answers
Exam: You would definitely want to be fully examined to rule out any associated ligamentous injury to the ankle or knee, which is fairly common with that fracture. If it is truly an "isolated" fracture, patients can gradually increase their weight bearing as tile rated and are usually doing well by about 6-8 weeks. Discuss your specific case with your doctor. ...Read more
Depends: On what you mean by trauma. Kids can walk and turn a certain way wrongly and sustain spiral femur fractures. As for adults, i believe this is much less common (without any sort of prior weakness to the bone itself) and would more likely require a traumatic force. ...Read more
How to protect collapse of talus dome. Diagnosed with avn 6 month post injury. Undisplaced verticle talus body fracture. No joint involved. Ptb brace?
It is possible.: Other fractures -- like skull, rib and long bones are more common. Regardless of the type of fracture, if you suspect child abuse, you should find a way to help that child.If necessary, contact the child's dr, or teacher, or a county child protective services agency. ...Read moreSee 1 more doctor answer
Comminuted impacted fracture through the neck of the left humerus with associated mild valgus angulation of the humeral shaft. Can this heal in SLING?
In short YES. : I typically do not perform surgery on nondisplaced fractures of the proximal humerus. I tell people it is like having ice cream on a cone. If the ice cream (humeral head or ball) falls off the cone(shaft) then it needs surgery if the ice cream is tilted or slightly smashed no surgery. If it is blown to prices then surgery. ...Read more
Please interpret nonhealing subtrochanteric femur fracture -cephalomedullary device in place. Device has fallen into significant almost 80 deg varus?
Fracture: The device is the intramedullary nail or screw stabilizing / transfixing the fracture. Varus angulation means inward angulation, 80 degrees is the amount of angulation. Sounds like the fracture has not healed and the hardware has changed its relative position. Need to see your orthopedic surgeon. ...Read more
What is the implication of the rod and screw in fractured femur bowing on X-ray 8 weeks post op in 58 year old male?
Could be a problem: If the surgeon felt this was new bowing that could be due to too much stress on the rod. That would be very unusual with modern rods as they are very strong...Especially to see as early as 8 weeks. If it is just on an x-ray report you need to talk to your orthopedist as it us likely nothing. Most rods are normally bowed and may bow slightly more after being inserted. ...Read more
"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally
do u think cast will heel up?
Probably: Fortunately the cuneiforms are pretty rigid with alot of soft tissue/capsular attachment that help form the midfoot. A cast should help to allow things to heal and ossify. This may predispose you to some midfoot pain/arthritis as you get older. A good arch support may help longterm. I'd let your orthopod determine if cast or boot or postop shoe is appropriate w/o seeing films. ...Read moreSee 2 more doctor answers
Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .
Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read moreSee 2 more doctor answers
27 year old female..Had lateral patellar dislocation in feb.My MRI shows bone bruise on lateral condyle of femur and minimal joint effusion.Treatment?
Conservative : Treatment- nsaids, warms packs /ace wrap application, physical therapy, immobilization with a brace.The small fluid accumulation may resolve by itself otherwise it needs to be drained if it builds up. Follow up with ur orthopedic. Best wishes! http://reference.Medscape.Com/article/90068-treatment#showall. ...Read more
How effective is PTB brace in case of talus avn ?Undisplaced verticle talus body fx not unite 5 month post injury. Ct scan showing pstchy sclerosis.
Broken fibula & tibia in 99. Leg length discrepancy of 1.5" but only tibia is short. Fibula bowing. Problems feet up. Pursue Taylor spatial frame?
Other options?: You're 30 and no longer growing, problem won't get worse. A 3/4" heel lift on your shorter leg may resolve most issues. If not, surgery to lengthen the short tibia with external device is possible but results may not be worth the effort to get there. You really need to discuss with orthopedics your current issues with shorter leg and if they will resolve with surgery. ...Read more
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